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Ineffective Airway Clearance related to Bronchopneumonia

Nursing Care Plan for Bronchopneumonia

Ineffective Airway Clearance : Inability to clear secretions or obstructions from the respiratory tract to maintain a clear airway

Bronchopneumonia is a type of pneumonia. Pneumonia is inflammation of the lungs, caused by infection from viruses, bacteria, or fungi. The infection causes inflammation in the alveoli (also known as air sacs) in the lungs, causing the alveoli to become filled with pus or fluid.

Both forms of pneumonia are often caused by coming into contact with viruses and bacteria in your day-to-day routine. Most cases of bacterial pneumonia are caused by the bacterium Streptococcus pneumonia; however, it is not uncommon for pneumonia to be caused by more than one type of bacteria. Other possible culprits include:

Staphylococcus aureus

Haemophilus influenzae

Klebsiella pneumoniae

Most cases of viral pneumonia are caused by the same viruses that cause cold and flu.

Nursing Diagnosis for Bronchopneumonia

Ineffective Airway clearance related to increased sputum production

Subjective Data

Patients complain of fuss

Patients complain of shortness of breath

Patients do not want to eat

Parents expressed not understand about his illness

Objective Data

Breathing fast and shallow

Nostril breathing

Ronchi and cyanosis

Coughing purulent sputum

The use of auxiliary respiratory muscles

Breath sounds bronchovesikuler

vomiting vomiting

Malaise

Decreased appetite and weight loss

Increased respiration

Goals:

Clean and effective airway after the treatment, the criteria:

No dypsnoe, cyanosis, Ronchi

BGA mormal

Intervention:

Assess the respiratory rate, record the ratio of inspiration / expiration.

Tachypnea is usually present in some degree and can be found at the reception or during stress / presence of acute infectious process. Respiratory frequency can be slowed down and elongated than the expiration of inspiration.

Airway clearance ineffective may be manifested in the presence of breath sounds adventisius.

Semi-Fowler position will make it easier for patients to breathe.

Hydration decrease the viscosity of secretions and facilitate expenditure.